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r <br />L''NGI1WERING ANU CO:IeIUIIJ'I'Y SYRVICES _ <br />_ BBUILDIUr 1'I:IUII`I' IIIPOWIA_TION -- --- <br />ADDRESS / i —' TYPH _ <br />1) BUL;DING PERMIT FEL•' uezo � • 00 $ 2'/ 7 .OD <br />2) <br />3) <br />4) <br />5) <br />G) <br />(A) PLAII CHL•'CIC FJiJi <br />PLU:•IBING <br />MECHANICAL <br />WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED $ Zoo .00 <br />(A) TO BE DETER1MINED BY PLBG. II.1SP. INCH <br />(R) EXIST. WATER SERVICE, APPL—NO..=-- <br />(C) APPROX. LOCATION <br />Oif C� AF GAT_ CHART l U — 2 � <br />MIVEWAY I'MMIT TO 13E PAID BEFORE BUILDING <br />PEP•;zT IS ISSUL'll T. LLD/Fl (TYPE) S_ <br />STATUS OF SEI-11"R CHARGES: TOTAL $ O0 <br />BbND DISTRICT FOOTAGE <br />N, S, E, YJ. <br />NOTES <br />/Jo ,oiaa:�'& '1vou/ ov P<aqmi <br />C 711,., i/ de;pt t L441 1-09S A./O <br />2EZeIer� sic ,Bra,[./,ct� a-eoets <br />/f �IV�\lllLi J/..11 L1\ Vlll\I\V IiJ. <br />SEWER CONNECTION CHARGES <br />YEAR % 7 TRUNK $ <br />LATERAL S <br />OTAL CONNECTION CHARGE$ <br />CATC)l BS�,SIN PER:IIT FEE $ <br />� u• <br />`TOTAL SEI''ER PLRitIT FEES$ <br />SEWER CONSTRUCTION: i TRUNK $ <br />LATERAL $ <br />SEWER SERVICE $ �•�� <br />APPROX. LOCATION Or SIDE SE'9L't OR TEE IN THE MAIN: <br />1,37'• _ CHART 4 <br />TWO COMPULD BY: bATR <br />APPROVAL: DATP . <br />' �J <br />